There may be some errors on your application form. Please can we ask you to check back over the form and amend those fields that are highlighted in red and then re-submit the form.
If you have any questions please do not hesitate to contact us on: +44 (0) 117 253 0888

Book Now

Congratulations!

You have made the exciting decision to embark on one of our amazing trips of a lifetime. We will do all we can to ensure you have a wonderful experience.

Please complete the application form below. You can then make your deposit payment securely online using a debit or credit card or by bank transfer at the end of the form.

A deposit of £180 per activity is required to reserve your place, unless you are travelling within 12 weeks in which case the full payment is required at the time of booking.
A deposit of 30% of the fee is required for all courses and luxury lodges.
To check availability for your chosen activity, or if you have any questions,
please either call us on +44 (0) 117 253 0888 or email us through our enquiry page.

Do you have any psychiatric disorders and/or a history of
emotional instability? If yes, please provide further details.

Please detail any phobias or allergies that you have?

Please detail any prescription medication that you take and the reason for taking it?

Do you consider yourself to be disabled or are you registered disabled? If yes, please provide details of your disability.

Please detail any hospitalisation that you have had over
the last two years?

Emergency Contact Details

Emergency ContactName *

Telephone number *

Their relationshipto you? *

Supporting Information - (for volunteer placements only)

Please tell us what you hope to gain/achieve by taking part in this project?

Please describe any skills/personal attributes that may
assist you on your project as well as what you currently do?

Amanzi Travel

How did you hearabout us?

If 'Other' pleaseprovide details

Ready?

To the best of my knowledge the information provided in this application form is true, accurate and complete. It is essential that you have read and agree to the terms and conditions which are available on www.amanzitravel.com and can be mailed to you on request – enquiry page.

* I have read the terms and conditions that apply to Amanzi Travel bookings and agree to be bound by them.

There may be some errors on your application form. Please can we ask you to check back over the form and amend those fields that are highlighted in red and then re-submit the form. If you have any questions please do not hesitate to contact us on: +44 (0) 117 253 0888

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